Health Requirements for School

Three Health Requirements for School

  1. Health requirements for school entry (for students new to the district): up to date required immunizations, tuberculosis (TB) clearance, physicals
  2. Health requirements for attending school (for all students): up to date immunizations
  3. Health documents for health services: care plans, medical orders, and medication orders

What are the Health Requirements for School Entry?

All students new to SFUSD

  • Tuberculosis (TB) clearance within one year of entering SFUSD
  • Required immunizations (shots or vaccinations). Students must have at least one dose of every required vaccine and no deadline for any missing dose has passed.
  • Physical examination for any TK, kindergartener or new first grader. This documentation should be submitted any time during the kinder year or before first grade. The date of the physical examination should be no earlier than 6 months before the start of the kinder year. School Health and Oral Health Forms

What are the Health Requirements for Attending School?

All students, all grade levels

All students must be up to date on all immunizations. See tables below for the required immunizations for various grade levels. Personal belief or religious exemptions are no longer accepted. Medical exemptions may apply (see the back of the School Health Form for more information).

What are the Health Requirements for Medical Services?

Any student who needs medical services at school

In order for medical services to be provided, the school must have doctor’s orders for the needed procedures or medication. See the links below for templates that should be taken to your child’s provider to complete. The parent/guardian must also sign before submitting to the school.

Immunization Requirements by Grade

Child Care / PreK

Immunization requirements differ depending on the age of the child when enrolling for child care.

  • 2-3 months: 1 DTaP, 1 Polio, 1 Hep B, 1 Hib
  • 4-5 months: 2 DTaP, 2 Polio, 2 Hep B, 2 Hib
  • 6-14 months: 3 DTaP, 2 Polio, 2 Hep B, 2 Hib
  • 15-17 months: 3 DTaP, 3 Polio, 2 Hep B, 1 MMR (on or after 1st birthday), 1 Hib (on or after 1st birthday)
  • 18 months-4 years: 4 DTaP, 3 Polio, 3 Hep B, 1 MMR (on or after 1st birthday), 1 Hib (on or after 1st birthday- only required for children less than 4 years, 6 months ), 1 Varicella

TK-12 students

  • Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses (4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
  • Polio (OPV or IPV) — 4 doses (3 doses OK if one was given on or after 4th birthday)
  • Hepatitis B — 3 doses (not required for 7th grade entry)
  • Measles, Mumps, and Rubella (MMR) — 2 doses (both given on or after 1st birthday) 
  • Varicella (chickenpox) — 2 doses

Children entering 7-12 grade

  • Tetanus, Diphtheria, Pertussis (Tdap) —1 dose 
  • Varicella (chickenpox) — 2 doses.
  • Please note that the TK/K-12 immunization requirements apply to 7th graders who:
    • previously had a valid personal beliefs exemption (PBE) filed before 2016. Pre-existing PBEs expire upon entering 7th grade and, therefore, the student is required to meet the TK/K-12 requirements.


Community Clinics

  • SF Child Health and Disability Prevention (CHDP)/"Gateway")
    • Eligibility criteria: families with children and youth (ages 0-18yrs) who are uninsured (or underinsured) and low to moderate income
    • Can obtain temporary full-scope, no-cost Medi-Cal benefits at the time of service
    • Call to make an appointment: (415) 575-5700 for English, (415) 575-5704 for Spanish, and (415) 558-4036 for Chinese/other languages using interpreter services
    • Flyer: English | Spanish | Chinese | Arabic |Russian |Tagalog Vietnamese
  • Teen Clinics for Primary Care and Immunizations (for students 12 years old and older)
  • SF Health Network New Patient Intake Line (Public or low cost clinics): Call to make an appointment (415) 682-1740

Helpful Links: